LANCE TUCKER

SHREVEPORT, LA
NPI1982289997
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy208100000X Physical Medicine & Rehabilitation
(Licence: LA  06586r)
Enumeration Date2021-03-11
Last Update Date2021-03-11
Business Address
LANCE TUCKER
4437 RICHMOND AVE
SHREVEPORT, LA 71106-1419
Phone number: 318-272-6125
Mailing Address
LANCE TUCKER
4437 RICHMOND AVE
SHREVEPORT, LA 71106-1419
Phone number: 318-272-6125
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